NURS 6521C
Question 11 pts
Alendronate (Fosamax) is prescribed for a 67-year-old postmenopausal woman. In order to help prevent gastrointestinal distress, the nurse will advise the patient to
Group of answer choices
stand or sit upright for at least 30 minutes after taking alendronate.
avoid drinking water with the drug.
lift weights in the gym at least five times a week.
take calcium and vitamin D supplements.
Question 21 pts
A pregnant patient who has diabetes has been admitted to the hospital to begin labor. Since the patient has diabetes, the physician has decided to use oxytocin (Pitocin) to initiate labor contractions. When talking to the patient about the adverse effects of the drug, the nurse should understand that the most common adverse effects of the drug include
Group of answer choices
metabolic alkalosis.
uterine tachysystole.
electrolyte imbalances.
water intoxication.
Question 31 pts
A Nurse Practitioner is caring for a patient who is at 28 weeks' gestation and is receiving terbutaline (Brethine) to control preterm labor. Which of the following assessment parameters should the nurse prioritize?
Group of answer choices
Maternal body temperature
Fetal heart rate (FHR)
Correct fetal position
Fetal blood pressure
Question 41 pts
A Nurse Practitioner is obtaining baseline physical data from a 7-year-old patient who is to be started on dextroamphetamine for ADHD. After obtaining vital signs, height, and weight, the nurse will prepare the patient for an
Group of answer choices
electrocardiogram (ECG).
electromyelogram (EMG).
electroencephalogram (EEG).
electrophysiologic study (EPS).
Question 51 pts
Mr. Lepp is a 63-year-old man who was diagnosed with colon cancer several weeks ago and who is scheduled to begin chemotherapy. He reports to the nurse that he read about the need for erythropoietin in an online forum for cancer patients and wants to explore the use of epoetin alfa with his oncologist. Which of the following facts should underlie the nurse's response to Mr. Lepp?
Group of answer choices
Epoetin alfa is normally contraindicated in patients who are receiving radiotherapy or chemotherapy.
Treatment with epoetin alfa will likely begin 4 to 6 days before Mr. Lepp's first round of chemotherapy and continue indefinitely.
The potential benefits of epoetin alfa must be weighed carefully against the potential adverse effects in cancer patients.
Mr. Lepp's oncologist should have begun treatment with epoetin alfa immediately after he was diagnosed.
A male patient is taking finasteride for BPH. Which of the following will the nurse evaluate at each clinic visit?
Group of answer choices
Serum cholesterol levels
Bone growth
Hemoglobin levels
Urinary elimination patterns
Question 71 pts
An oncology nurse is reviewing the pathophysiology of cancer and is discussing with a colleague the factors that contribute to the success or failure of a patient's chemotherapy. Which of the following cancerous cells is most susceptible to the effects of chemotherapeutic drugs?
Group of answer choices
Cells with a long generation time
Cells that lack contact inhibition
Cells that have a rapid mitotic rate
Cells that lack a blood supply
Question 81 pts
Some Psychotropic medications can cause Extrapyramidal Side Effects (EPS)
Group of answer choices
True
False
Question 91 pts
Off-label prescribing is
Group of answer choices
illegal
regulated by the FDA
common and necessary
based on state legislation
for investigational purposes
Question 101 pts
What schedule class of drug is Hydrocodone?
Group of answer choices
I
II
III
IV
Question 111 pts
Jessica, the NP is seeing an asthmatic child in the clinic today to evaluate the child's response to their prescribed therapy. The child uses an ICS (Inhaled Corticosteroid) twice a day and an albuterol mdi as needed. The child's symptoms are well controlled, However the Nurse Practitioner notes some slowing of the child's linear growth on a standardized growth chart. The NP should change this medication regimen to:
Group of answer choices
SABA as needed plus a leukotriene modifier once a day
combination ICS/LSBS inhaler twice a day
short-acting Beta agonist (SABA) with oral corticosteroids when symptomatic
combination ipratropium/albuterol inhaler twice a day
Complete the Final Exam.
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Flag question: Question 12
Question 121 pts
The recommended treatment for trichomoniasis is
Group of answer choices
Flagyl.
Diflucan.
Amoxicillan.
Meclizine.
Question 131 pts
A 66-year-old man has made an appointment with his primary care provider to discuss his recent erectile dysfunction (ED) and has requested a prescription for tadalafil (Cialis) based on television commercials he has seen. What characteristic of this patient would most likely contraindicate the use of tadalafil for his ED?
Group of answer choices
The patient takes allopurinol for the treatment of gout
The patient has a family history of osteoporosis and has undergone bone density testing
The patient has unstable angina and uses a nitroglycerin patch
The patient often takes ginseng when he gets a common cold
Question 141 pts
A Nurse Practitioner has completed a medication reconciliation of a patient who has been admitted following a motor vehicle accident. Among the many drugs that the patient has received in the previous year is rituximab. The nurse would be justified in suspecting the patient may have received treatment for which of the following diseases?
Group of answer choices
Non-Hodgkin's lymphoma
Malignant melanoma
Nonsmall cell lung cancer
Renal cell carcinoma
Question 151 pts
A patient reports to a clinic with complaints of breast tenderness, a right lumpy breast, and no breast discharge. The breast tenderness occurs primarily during her menstrual cycle. The nurse practitioner probably suspects
Group of answer choices
breast cancer.
cancerous breast tenderness.
pain in the heart.
PMS.
Question 161 pts
Which of the following statements is false about acute conjunctivitis?
Group of answer choices
Up to 80% of acute conjunctivitis is viral.
Bacterial conjunctivitis is typically a self-limited infection that resolves without treatment. Antibiotics may speed recovery time.
In general, most patients are prescribed antibiotic drops because there is no pathognomonic feature that distinguishes between bacterial and viral conjunctivitis.
No clinical evidence suggests superiority of one antibiotic over another.
None of the above
Question 171 pts
Morphine has been prescribed for a 28-year-old man with severe pain due to a back injury. The nurse will advise the patient to avoid
Group of answer choices
alcohol.
vitamin C.
fatty foods.
dairy products.
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Question 181 pts
A patient is prescribed ganciclovir to treat a CMV infection. An oral dosage is prescribed. To help increase bioavailability of the drug, the nurse will encourage the patient to take the medication
Group of answer choices
with high-fat meals.
with orange juice.
on an empty stomach.
with high-protein meals.
Question 191 pts
A Nurse Practitioner is instructing a 19-year-old female patient on the use of fluconazole for candida vaginitis. A teaching priority will be to
Group of answer choices
take an antiemetic or antidiarrheal for adverse GI effects.
use an alternative form of birth control, if taking an oral contraceptive.
use an aspirin for relief of minor discomforts.
take the drug with food.
Question 201 pts
A Nurse Practitioner has questioned why a patient's physician has prescribed a narrow-spectrum antibiotic rather than a broad-spectrum drug in the treatment of a patient's infection. Which of the following facts provides the best rationale for the use of narrow-spectrum antibiotics whenever possible?
Group of answer choices
Broad-spectrum antibiotics confound the results of subsequent culture and sensitivity testing.
Narrow-spectrum antibiotics normally require a shorter duration of treatment.
The efficacy of most narrow-spectrum antibiotics has not been proven.
The use of broad-spectrum antibiotics can create a risk for a superinfection.
Question 211 pts
A patient has completed 4 weeks of treatment with epoetin alfa. Which of the following assessment findings would most strongly indicate that treatment has been effective?
Group of answer choices
The patient white blood cell level is within reference ranges
The patient's hemoglobin level is 11 g/dL
The patient maintains an oxygen saturation of 92% on room air
Capillary refill in the patient's nail beds is less than or equal to 3 seconds
Question 221 pts
An immunocompromised 7-year-old child was recently discharged home with a peripherally-inserted central line (PIC line) for home antibiotic therapy. He has now been brought to the emergency department by his mother and father with signs and symptoms of line sepsis. Upon questioning, the mother states that she has been removing the PIC dressing daily and washing the site with warm water and a cloth. What nursing diagnosis is most appropriate in this situation?
Group of answer choices
Caregiver Role Strain
Ineffective Family Therapeutic Regimen Management
Delayed Growth and Development
Knowledge Deficit
Question 231 pts
A Nurse Practitioner is explaining to a pregnant 21-year-old college student why she cannot continue to take ibuprofen (Advil) for her headaches. The nurse draws a picture depicting drug molecules crossing the placental membrane and entering into the fetal circulation. The nurse tells the patient that the main reason this happens is because
Group of answer choices
there is a 40% increase in blood volume during pregnancy.
the mother's heart rate is 10 to 15 beats per minute faster during pregnancy.
drugs compete with the hormones of pregnancy for albumin-binding sites.
hemodilution of plasma albumin occurs.
Question 241 pts
A postmenopausal patient is prescribed bisphosphonates to treat osteoporosis. The nurse will instruct the patient to take the drug
Group of answer choices
at bedtime.
after meals.
at any time of the day with tea or coffee.
first thing in the morning.
Question 251 pts
A male patient is trying to decide if he should use finasteride (Proscar) to treat benign prostatic hypertrophy (BPH). When providing information about the drug, the nurse will include which of the following as a risk associated with finasteride therapy?
Group of answer choices
Excess fluid volume related to potential effects of drug therapy
Hypercalcemia related to drug therapy, immobility, and breast cancer
Sexual dysfunction related to erectile dysfunction
Prostatic neoplasia
Question 261 pts
A 46-year-old man is receiving a quinupristin/dalfopristin IV infusion for a life-threatening infection. Which of the following would be most important for the nurse to monitor?
Group of answer choices
Increased heart rate
Breathlessness
Infiltration, edema, or phlebitis at the infusion site
Nausea and vomiting
Question 271 pts
Ms. TW is a 47 year old female with known rheumatoid arthritis (RA). She was s placed on prednisone 5 mg PO qd. In teaching the patient about her medication, it would be important for the nurse practitioner to include what information?
Group of answer choices
When the symptoms of arthritis subside, she will be able to quit taking her medication.
Increase fluid intake is important to prevent renal damage by the steroids
The medication should be taken about 30 minutes before eating
It is important to take the medication as prescribed, even after the redness and swelling decrease
Question 281 pts
A Nurse Practitioner is performing patient education for a woman who has just been prescribed a bisphosphonate. Which of the following diagnostic and history findings would have prompted the woman's care provider to prescribe a bisphosphonate?
Group of answer choices
Height in the lowest quartile of the population and a history of joint pain
Low bone density and a family history of osteoporosis
Complaints of cold intolerance, recurrent constipation, and evidence of diverticular disease
Labile moods and short-term memory deficits
Question 291 pts
What is the best initial treatment plan for a sleep disorder in the older adult patient?
Group of answer choices
Medicate with amitriptyline (Elavil).
Medicate with trazodone (Desyrel).
Decrease noise and light in the environment
Discuss the importance of naps daily.
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Question 301 pts
A patient with AIDS has developed a number of secondary infections in recent weeks, including Kaposi's sarcoma. As a result of this most recent diagnosis, his care team has opted to begin treatment with interferon alfa-2a. The nurse is aware that this drug will address the etiology of Kaposi sarcoma by
Group of answer choices
inhibiting tumor growth by enhancing inflammation.
potentiating the effects of phagocytes and macrophages.
causing mutations in the DNA of cancerous cells.
increasing the production of B cells and T cells.
Question 311 pts
Lily, the nurse practitioner is seeing Mr. Reynolds today. She would recognize that which of the following is a potential adverse side effects of autonomic-anticholinergic agents?
Group of answer choices
Reduced GM motility
Increased symptoms of benign prosthetic hypertrophy
Bradycardia
Photosensitivity
Question 321 pts
A woman who is in the second trimester of her first pregnancy has been experiencing frequent headaches and has sought advice from her nurse practitioner about safe treatment options. What analgesic can the nurse most safely recommend?
Group of answer choices
Aspirin
Diflunisal (Dolobid)
Acetaminophen
Ibuprofen
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Question 331 pts
Which of the following is a true statement about aspirin and its action on platelets
Group of answer choices
It's effects on platelets may last up to three weeks
It is used for prophylaxis against strokes and acute myocardial infarction
It's effects only last two weeks and are reversible
It's effects on platelets are irreversible
Question 341 pts
A woman is receiving magnesium sulfate for intrapartum eclampsia. The patient is perspiring and her blood pressure is 88/50. The serum magnesium level is 10 mg/dL. The nurse will interpret these manifestations as
Group of answer choices
common adverse effects of magnesium sulfate.
magnesium sulfate toxicity.
a hypersensitivity reaction to magnesium sulfate.
an idiosyncratic reaction from the magnesium sulfate.
Question 351 pts
When prescribing Phosphodiesterase type 5 (PDE-5) inhibitors such as sildenafil, the patient should be screened for use of?
Group of answer choices
Statins
Nitrates
Insulin
Opioids
Question 361 pts
The NP recognizes that these medications are useful when taken during early symptoms of a migraine.
(Select all that apply)
Group of answer choices
Triptans
Codeine
Ergotamines
Acetaminophen
Question 371 pts
I did not make drugs have a little effect when administered:
Group of answer choices
Orally
Intramuscularly
Intravenously
By inhalation
Question 381 pts
A patient will soon begin targeted therapy as a component of her treatment plan for chronic leukemia. The nurse is conducting health education about this new aspect of the patient's drug regimen and the patient has asked about the potential side effects of treatment. How should the nurse best respond?
Group of answer choices
"Chemotherapy causes a lot of unpleasant side effects, and the advantage of targeted therapies is that these are all avoided."
"Targeted therapies are often more effective than traditional chemotherapy, but the downside of this effectiveness is that adverse effects are more common and severe."
"The adverse effects to targeted therapies are most often a result of the patient's cancer, not the drugs themselves."
"Both classes of drugs have adverse effects, but targeted therapies tend to have less of an effect on healthy body cells."
Question 391 pts
A 6-month-old child has developed skin irritation due to an allergic reaction. He has been prescribed a topical skin ointment. The nurse will consider which of the following before administering the drug?
Group of answer choices
That the infant's skin has greater permeability than that of an adult
That there is less body surface area to be concerned about
That there is decreased absorption rates of topical drugs in infants
That there is a lower concentration of water in an infant's body compared with an adult
Question 401 pts
A 34-year-old male has been diagnosed with TB and will be started on INH therapy. The medication history reveals that he currently takes antacids on a regular basis. The nurse will instruct the patient to take
Group of answer choices
antacids during the day and INH only at night.
antacids before meals and INH 1 or 2 hours after meals.
INH before meals and antacids 1 or 2 hours after meals.
antacids not less than 1 hour before or 2 hours after taking INH.
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Question 411 pts
Amoxicillin is to be administered from a multiple dose container. After water is added for reconstitution, the well shaken oral suspension will yield 250mg/5mL. If the prescribed child's dose is 100mg bid, how many mL should be administered per dose?
Group of answer choices
1.75 mLs
2 mLs
3.25 mLs
4 mLs
None of the above
Question 421 pts
A patient with bipolar disorder is on divalproex sodium (Depakote) for mania. What test(s) would the family nurse practitioner monitor?
Group of answer choices
Liver function test and CBC.
ECG.
UA and C&S
Pulmonary function test.
Question 431 pts
Which of the following medication classes should be avoided and men with BPH
Group of answer choices
Fluoroquinolones
Alpha blockers
Nasal decongestants
Beta blockers
Question 441 pts
JC is a 13 year old female to be seen in your clinic today. You review JC's medication and realize that which medication is a potential risk of growth suppression in prepubescent children?
Group of answer choices
Acetaminophen
corticosteroids
Diphenhydramine
Claritin
Question 451 pts
Mr. CW has his routine appointment today in your clinic. He has been taking 10 mg of prednisone per day for the past six months. He should be assessed for
Group of answer choices
Gout
iron deficiency anemia
Kidney stones
Osteoporosis
Question 461 pts
A pregnant patient asks the Nurse Practitioner what over-the-counter medication she can take for recurring headaches. The nurse should recommend
Group of answer choices
aspirin.
advil.
tylenol.
motrin.
Question 471 pts
A 54-year-old woman with a history of osteoporosis has been prescribed ciprofloxacin for recurrent cystitis. Because of the patient's history, the nurse would be sure to discuss with the woman the use of
Group of answer choices
alcohol.
grapefruit juice.
food containing iron or calcium.
nicotine.
Question 481 pts
Which of the following is the strongest combination of selective serotonin reuptake inhibitor and dosage for the treatment of depression?
Group of answer choices
citalopram 20mg
escitalopram 20mg
fluoxetine 20mg
paroxetine 20mg
sertraline 50mg
Question 491 pts
An immunocompromised patient with a diagnosis of candidiasis has failed to respond to conservative therapy and has consequently begun treatment with amphotericin B. The nurse is aware that this drug achieves a therapeutic effect by way of its influence on
Group of answer choices
the osmolarity of fungal intracellular fluid.
protein synthesis of fungal cells.
the production and maturation of CD4+ T-cells.
the permeability of fungal cell walls.
Question 501 pts
A child is taking permethrin for head lice. The Nurse Practitioner will instruct her mother to
Group of answer choices
wash her hair daily with a good shampoo.
increase her daily intake of milk.
maximize the child's fluid intake.
stop using creams, ointments, and oils on the child's skin and scalp.
Question 511 pts
A man has a demonstrated history of androgen deficiency and the consequences of this health problem include an inability to maintain an erection. Which of the following medications would best address this patient's erectile dysfunction (ED)?
Group of answer choices
Sildenafil (Viagra)
Tamsulosin (Flomax)
Exogenous testosterone
Tadalafil (Cialis)
Question 521 pts
A male patient has been on long-term bicalutamide (Casodex) therapy. In order to assess adverse effects of the drug therapy, the nurse will closely monitor which of the following?
Group of answer choices
Visual function
Blood counts
Pap test results
Liver function
Question 531 pts
Which of the following combination medications does not contain a progestin combined with estrogen?
Group of answer choices
Prempro
Femhrt
Premarin
Climara Pro
Activella
Question 541 pts
A 62-year-old patient taking tamoxifen exhibits increased bone and tumor pain along with a local disease flare. The nurse interprets this as an indication of which of the following?
Group of answer choices
A hypersensitivity reaction
The tumor responding to treatment
Nephrotoxic effects of tamoxifen
Cardiomyopathy
Question 551 pts
Jennifer, the Nurse Practitioner, is seeing Mr. Johns, a 65 year old male in the clinic today with c/o Arthritis pain. What is a serious side effect of ibuprofen use in the older adult patient?
Group of answer choices
Rebound headaches
Neuropathy
Pancreatic failure
Impairment of renal function
Question 561 pts
The nurse practitioner orders Amoxicillin 500 mg tid? What is the total amount of medication patient will take per day?
Group of answer choices
500 mg
1000 mg
1500 mg
150 mg
Question 571 pts
Diazepam, lorazapam, and alprazolam are what controlled substance schedule?
Group of answer choices
C-II
C-III
C-IV
C-V
C-VI
Question 581 pts
A nurse practitioner orders a single dose of 2 g Metronidazole orally. How many milligrams will the patient receive in one dose?
Group of answer choices
1000 mg
2000 mg
3000 mg
4000 mg
Question 591 pts
A male patient is receiving heparin by continuous intravenous infusion. The nurse will instruct the patient and family members to report which of the following should it occur?
Group of answer choices
A skin rash
Sudden occurrence of sleepiness and drowsiness
Dizziness
Presence of blood in urine or stools
Question 601 pts
Steady state is:
Group of answer choices
The point on the drug concentration current absorption exceeds excretion
With the amount of drug in the body stays below the minimum toxic concentration (MTC)
When the amount of drug in the body remains constant
All of the above
Question 611 pts
Gold compounds are contraindicated in patients with all of the following conditions except:
Group of answer choices
Hepatic disease
Renal disease
Blood dyscrasias
Rheumatoid arthritis
Question 621 pts
Ms. Lewis Is in 74-year-old female who presents to your clinic for routine visit today. You review her medical record and notice she is prescribed aspirin therapy. You provide patient education regarding the signs of aspirin toxicity. An early sign of aspirin toxicity is:
Group of answer choices
Tremors
Vomiting
Tinnitus
Black, tarry stools
Question 631 pts
Cindy has been on Citalopram (Lexapro) for a year and is willing to try tapering off of the selective serotonin reuptake inhibitor. What is the initial dosage adjustment when tapering off antidepressants
Group of answer choices
Reduce dose by 50% for 3 to 4 days
Reduce dose by 50% every other day
Change Dose to every other day dosing for a week
Lexapro can be stopped abruptly due to its long half life
uestion 641 pts
A 20-year-old woman has been prescribed estrogen. As with all women taking estrogen, the nurse will carefully monitor the patient for which of the following?
Group of answer choices
Lack of secondary sexual characteristics
Cardiovascular complications
Early epiphyseal closure
Decreased libido
Question 651 pts
A 71-year-old man has just been prescribed finasteride (Proscar). Which of the following complaints by this patient most likely indicated a need for this drug?
Group of answer choices
"My urine is extremely concentrated lately and it smells strong."
"To be honest, I find that I can't get an erection for the past few months."
"My urine's been cloudy for the last little while and it burns when I go to the bathroom."
"Lately, I have to get up three or four times a night to go to the bathroom."
Question 661 pts
Off label prescribing is:
Group of answer choices
Regulated by the FDA
Illegal by NPs in all states and provinces
Legal if there is scientific evidence for the use
Regulated by the DEA
Question 671 pts
A female patient is taking filgrastim (Neupogen) to decrease the incidence of infection. The nurse notices a small increase in the neutrophil count 2 days after starting therapy. The nurse's evaluation of the increase is that
Group of answer choices
the therapeutic effect of the drug is slow, and it is likely to cause adverse effects.
the drug therapy is proving to be ineffective.
the therapeutic effect of the drug is fully evident.
the increase in the neutrophil count is only transient.
Question 681 pts
A 66-year-old woman has experienced a significant decline in her quality of life as a result of worsening rheumatoid arthritis. Her physician has prescribed etanercept and the APRN is responsible for facilitating this new aspect of the patient's drug regimen. This will involve the administration of
Group of answer choices
daily, outpatient intravenous therapy.
daily, oral administration.
weekly subcutaneous injections.
weekly administration of an enteric coated tablet.
Question 691 pts
Lisa, age 25, has just been placed on Minocycline. The NP should tell this pt to:
Group of answer choices
expect headaches periodically when taking this medicine
avoid taking antacids while taking this drug
Use a backup form of contraception if currently taking oral contraceptive pills
Always take the medication on an empty stomach
Question 701 pts
Which of the following medications will not increase the likelihood of photosensitivity?
Group of answer choices
Amoxicillin
Sulfa drugs
Fluoroquinolones
Doxycycline
Question 711 pts
The Nurse practitioner is considering ordering a medication for a patient. He/she knows that an advantage of prescribing a sublingual medication is that the medication it is:
Group of answer choices
Excreted rapidly
Absorbed rapidly
Metabolized minimally
Distributed equally
Question 721 pts
A 38-year-old pregnant patient admits to the Nurse Practitioner that she is an alcoholic and has been consuming alcohol during her pregnancy. The nurse knows that using alcohol during pregnancy may result in a child who presents with
Group of answer choices
a high-pitched cry.
microcephaly.
an electrolyte imbalance.
thrombocytopenia.
Question 731 pts
Laboratory testing has confirmed that a patient has chloroquine-resistant malaria and the patient's physician has prescribed quinine along with an adjunctive drug. The nurse should question the physician's order if the patient has a history of
Group of answer choices
osteoporosis or low bone density.
chronic obstructive pulmonary disease (COPD).
diabetes mellitus.
cardiac arrhythmias.
Question 741 pts
An NP is seeing a child who weights 25 pounds, 2 oz and needs a medication. The NP learns that the recommended dosing for this drug is 30-35 mg per kg per day in three divided doses. The NP should order
Group of answer choices
110 mg daily
110 mg tid
330 mg once a day
330 mg tid
Question 751 pts
Which of the following pharmacologic agents can be used to treat nicotine dependence/ smoking cessation?
Group of answer choices
Multivitamins
Metoprolol
Sertraline
Bupropion
Question 761 pts
Phenytoin decreases folic acid absorption by
Group of answer choices
Altaring in the pH of the stomach
Increasing gastric emptying time
Inhibiting intestinal enzymes require for folic acid absorption
Chelation of the folic acid into inactive ingredients
Question 771 pts
A Nurse Practitioner is assessing a patient who has chronic lymphoblastic myelogenous leukemia. The treatment plan includes hydroxyurea (Hydrea). The nurse will assess the patient for which of the following?
Group of answer choices
Diabetes mellitus
Hypertension
Leukopenia
Hypoglycemia
Question 781 pts
The nurse practitioner has prescribed elemental iron 6 mg/kg/day in three divided doses for a toddler diagnosed with iron-deficiency anemia. What instructions would the family nurse practitioner include for the parents?
Group of answer choices
Give the iron with food to increase the absorption of the medication.
Give the medication through a straw to decrease the staining of the teeth.
Avoid foods containing ascorbic acid, which decreases absorption of the medication.
If a dose is missed, double up on the next two doses.
Question 791 pts
The Nurse Practitioner knows that Buproprion use (wellbutrin, zyban) is contraindicated in which of the following instances?
Group of answer choices
Body dysmorphic disorder
Hyperlipidemia
In conjunction with a MAOI) monoamine oxidase inhibitor
peripheral neuropathy
Question 801 pts
A 13-year-old female took a weight loss drug that activated the sympathetic nervous system. Which of the following assessment findings would the nurse expect?
Group of answer choices
Decreased myocardial contraction
Decreased heart rate
Increased cardiac conduction
Increased intranodal conduction time
Question 811 pts
A 67-year-old man who is being treated for prostate cancer is taking epoetin alfa. The nurse will instruct the patient to
Group of answer choices
stop taking the drug after a 2-week period.
schedule an appointment to measure hemoglobin twice a week for at least 2 to 6 weeks.
schedule an appointment to check if the patient has a high WBC count.
begin taking a calcium channel blocker to treat hypertension, which usually develops as an adverse effect of epoetin alfa therapy.
Question 821 pts
Ciprofloxacin can cause tendon rupture in kids under 18
Group of answer choices
True
False
Question 831 pts
A 36-year-old patient comes to the clinic and tells the nurse practitioner that she suspects that she is pregnant. During the initial assessment, the nurse practitioner learns that the patient is currently taking medications for diabetes, hypertension, and a seizure disorder. The nurse would be most concerned about which of the following medications?
Group of answer choices
Insulin
Ibuprofen (Advil)
Phenytoin (Dilantin)
Furosemide (Lasix)
Question 841 pts
A patient is being seen in the emergency department for a sprained ankle and is given a drug to relieve pain. When a second dose of the pain medication is given, the patient develops redness of the skin, itching, and swelling at the site of injection of the drug. The most likely cause of this response is
Group of answer choices
a hepatotoxic response.
an idiosyncratic response.
a paradoxical response.
an allergic response.
Question 851 pts
Which of the following medications does not require routine bloodwork?
Group of answer choices
clozapine
lithium
quetiapine
levothyroxine
vancomycin
Question 861 pts
During ongoing assessment of a patient receiving 5-FU therapy, the nurse finds the patient's platelet count to be 92,000 cells/mm3. The nurse should do which of the following?
Group of answer choices
Consult the prescriber for an increase in dosage
Consult the prescriber for a decrease in dosage
Consult the prescriber for discontinuation of the drug
Continue the therapy as prescribed
Question 871 pts
A Nurse Practitioner is aware that the concept of selective toxicity is foundational to antimicrobial therapy. Which of the following statements most accurately describes selective toxicity?
Group of answer choices
A drug harms microbes without harming human cells.
A drug's effect on microorganisms is proportionate to dose.
Most microbes may be collected from a host and cultured on an alternative medium.
A drug can be isolated and produced in a controlled manner in a laboratory setting.
Question 881 pts
An immunocompromised cancer patient has developed cryptococcal meningitis and been admitted to the intensive care unit for treatment with amphotericin B. How should the nurse most safely administer this drug?
Group of answer choices
Hang the drug by piggyback with lactated Ringer's and infuse over several hours to minimize the risk of infusion reaction
Infuse the drug over 2 to 4 hours into a central line using an infusion pump
Flush the patient's central line with normal saline and infuse the amphotericin B by intravenous push over 5 to 7 minutes.
Place the patient on a constant infusion of amphotericin B at a rate determined by the patient's body weight.
Question 891 pts
Lyrica is what controlled substance schedule?
Group of answer choices
C-II
C-III
C-IV
C-V
C-VI
Question 901 pts
Which of the following would the nurse include in a teaching plan about the signs and symptoms of thrombophlebitis and thromboembolism that should be reported by a patient taking estrogen?
Group of answer choices
Cholestatic jaundice
Amenorrhea
Headaches and chest pain
Breast tenderness
Question 911 pts
A quinolone used to treat a urinary tract infection would be contraindicated in :
Group of answer choices
pregnant patient
a 19 year old female
a patient with hypertension
a patient with pyelonephritis
Question 921 pts
A Nurse Practitioner is explaining to the parents of a 6-year-old child suffering from angina why nitroglycerin patches for chest pain would not be appropriate. Which of the following will the nurse include in an explanation?
Group of answer choices
A child has an erratic blood flow from an immature peripheral circulation, which increases drug absorption, causing an increase in adverse effects.
A child's gastric pH is decreased, causing less of the drug to be absorbed from the subcutaneous skin, therefore producing more adverse effects.
A child has a greater body surface area, creating greater permeability resulting in an increase in absorption of topical agents, which may result in more adverse effects.
A child has a smaller body surface area, resulting in an increase in topical absorption, which can cause more adverse effects.
Question 931 pts
Jacob was eating cheese and drinking beer. Thirty minutes Later, he developed severe hypertension, diaphoresis, Flushing, and muscle rigidity. He may have been taken which drug?
Group of answer choices
Trazodone
Phenelzine
Nortriptyline
Diphenhydramine
Question 941 pts
A patient has endocarditis and is taking gentamicin. The Nurse Practitioner will be sure to monitor which of the following?
Group of answer choices
Potassium level
Creatinine clearance
Serum albumin level
Prothrombin time
Question 951 pts
Baby Jasmine is a 5 month old breastfed infant with a fever. Treatment for her fever may include:
Group of answer choices
Acetaminophen suppository
"baby" aspirin
Ibuprofen suppository
Alternating acetaminophen and ibuprofen
Question 961 pts
Which of the following drugs is most likely to cause sexual dysfunction and males?
Group of answer choices
Selective serotonin reuptake inhibitors
Angiotensin converting enzyme inhibitors
Atypical antidepressants
Amphetamines
Question 971 pts
A nurse practitioner has administered filgrastim to a diverse group of patients in recent months. Which of the following patients should the nurse observe for extremely elevated white blood cell counts following administration of the drug?
Group of answer choices
A 19-year-old male receiving radiotherapy
A 25-year-old female with a diagnosis of congenital neutropenia
A 39-year-old female with a nonmyeloid malignancy
A 47-year-old male with aplastic anemia
Question 981 pts
A Nurse Practitioner working in a cancer center is preparing to administer medication to a 5-year-old child. The nurse will calculate the drug dosage by using
Group of answer choices
body surface area.
weight.
age in months.
age in years.
Question 991 pts
A Nurse Practitioner who provides care on a pediatric medicine unit has conducted a medication reconciliation of a recently-admitted patient. In light of the fact that the child takes methylphenidate (Ritalin), the nurse is justified in considering a history of what health problem?
Group of answer choices
Anxiety
Respiratory depression
Obesity
ADHD
Question 1001 pts
Which of the following agents would not be expected to cause nausea, vomiting, Flushing, dizziness, headache, and abdominal discomfort after consumption of alcohol?
Group of answer choices
Cefotetan
Chlorpropamide
Metronidazole
Fomepizole
